重视同病类证与同病类治的研究.docVIP

重视同病类证和同病类治的研究 【摘要】 病证关系除“同病异证”和“异病同证”外，还表现为“同病类证”。同病类证是指同一疾病患者具有相同的中医主证，个体之间只是兼夹证的差异，因此 治疗 上可运用中医类治法，即在应用主方治疗的基础上根据兼夹证适当加减。同病类证强调病和证的同质性，使辨病治疗和辨证治疗有更高的融合度。加强对同病类证和同病类治的研究是中西医结合的一项重要内容，有利于用 现代 科学 方法阐明中医证的内涵，也有利于发扬中医辨证施治的优势和个体化治疗的特色。同病类证和同病类治对临床医师掌握方证相应的辨证能力提出了更高的要求。 【关键词】 证候; 辨证; 辨病论治 　　Abstract: Apart from “different syndrome complexes in the same disease” and “the same syndrome complex in different diseases”, another relationship between disease and syndrome complex is “analogous syndrome complex in the same disease” which means that the patients who suffer from the same disease manifest the common basic syndrome complex in spite of slight differences in thEir accompanying symptoms. So we can use a basic Chinese herb formula to treat these patients through slightly modifying the prescription for the sake of thEIr accompanying symptoms when giving the medicine to each patient. The principle of “analogous syndrome complex in the same disease” emphasizes the homogenicity of disease and syndrome complex, further integrating “treatment based on the diseasediagnosis” and “treatment based on the syndrome complexdifferentiation”. It is important to study the principles of “analogous syndrome complex in the same disease and treating the same disease with analogous methods”. This will be beneficial to both interpretation of the connotation of syndrome complex with modern science and technique, and development of the advantages of syndrome differentiation treatment and individualized treatment in traditional Chinese medicine. The clinicians should fully understand the theory of “formula corresponding to the syndrome complex” and treat the patients based on syndrome differentiation. 　　Keywords: symptom complex; syndrome differentiation; diseases differentiation treatments 　　在中西医结合领域，病证关系一直是个令人关注的专题。辨病治疗和辨证治疗各具特色，病证结合有利于吸收中西医两种不同医学体系各自在收集患者信息，分析归纳，并最终得出诊断结论方面的优势，指导临床合理用药。“同病异证”和“异病同证”病证结合观的提出，对中医现代化和中西医结合产生了积极的影响。但在临床实践中我们感到病证关系在很多场合还有另一种表现形式：